Interpersonal Psychotherapy for latelife depression in general practice Ppt Powerpoint Presentation slides Mrs. DJF van Schaik, MD, PhD Medical Slideshow Interpersonal Psychotherapy for Depression

Interpersonal Psychotherapy for latelife depression in general practice

Rating :

Rate It:

Send This

Download

Comment

Favourite

more

Post To:

Facebook

Twitter

Digg

Delicious

more share options

There is no comments now for this Slide.

Post a comment

Post Comment on Twitter Post Comment on SlideWorld

Comments:

Subscribe to follow-up comments

Notes

Show Notes

Slide 1 :

Institute for Research in Extramural MedicineVU university medical centre, Amsterdam IPT for late-life depression in general practice: feasibility and effectiveness D.J.F. van Schaik, MD, PhD

Slide 2 :

Background Prevalence of depressive disorder among elderly primary care patients is 5-10% < 50% recognised Short-term psychotherapy often not available within general practice

Slide 3 :

Research questions Is it feasible to introduce Interpersonal Psychotherapy (IPT) in general practice for late-life depression ? Is IPT more effective than usual GP care in the treatment of late-life depression ?

Slide 4 :

Patients 55 years or older GDS-15 score: 5 or more DSM-IV major depressive disorder according to PRIME-MD mood module

Slide 5 :

Exclusion criteria Ongoing treatment for depression at the time of screening Not being able to answer the questionnaires because of cognitive impairment or language barrier

Slide 6 :

6719 Received GDS-15 4301 (64%) Completed GDS-15 834 (19%) GDS-15 ? 5 167 Excluded 30 Ineligible 46 No contact; 3 Died 88 Refused 667 (80%) Assessed for Enrollment 150 Excluded 88 Ineligible 62 Refused 143 Patients Enrolled 293 (44%) MDD Recruitment

Slide 7 :

Participants 143 patients 12 GP (group) practices 15 therapists 9 psychiatric nurses 6 psychologists

Slide 8 :

Interpersonal Psychotherapy(IPT) Time-limited (10 sessions) Manual based Initial phase (3 sessions): Review depressive symptoms, psycho-education Interpersonal inventory Treatment phase (5 sessions): Grief, interpersonal dispute, role-transition, or interpersonal deficit Termination phase (2 sessions): Evaluation, relapse prevention

Slide 9 :

Feasibility from different perspectives Patients General practitioners Mental health organisations/ therapists

Slide 10 :

Outcome measurement Effectiveness at 2 and 6 months Depressive symptoms: remission (MADRS <10), Diagnosis of depression (PRIME-MD) , Depression severity ( MADRS and GDS-15). General functioning: SF-36

Slide 11 :

Baseline Characteristics 1

Slide 12 :

Baseline Characteristics 2

Slide 13 :

Drop-out 69 IPT 58 At 2-month Follow-up 58 At 6-month Follow-up 74 Usual GP Care 61 At 2-month Follow-up 62 At 6-month Follow-up 143 Patients Enrolled

Slide 14 :

In our project it was feasible to organize IPT in general practice Facilitating: Motivation and satisfaction of participants Interfering: Finances Room in general practices

Slide 15 :

No diagnosis of depression anymore P-value based on X2 a: assuming all missings still had diagnosis

Slide 16 :

Remission

Slide 17 :

Depression severity, MADRS

Slide 18 :

Depression severity, GDS-15

Slide 19 :

General Functioning, SF-36

Slide 20 :

Post hoc PRIME-MD at 6 months P-value based on X2 a: assuming all missings still had diagnosis

Slide 21 :

Post hoc GDS-15 at 6 months b: regression coefficient of the time x treatment x binary variable MADRS < 21 (yes/no) interaction, computed in random coefficient analysis.

Slide 22 :

Conclusion It was feasible to introduce IPT in general practice. IPT was slightly more effective than CAU in patients with moderate to severe depression, not in patients with mild depression

Slide 23 :

Discussion Remission in other studies Relatively inexperienced IPT therapists Specific interventions only for moderately or severely depressed patients? Other subgroups? What works for whom? Current concept of depression?

Slide 24 :

References Van Schaik A, van Marwijk H, Adèr H, van Dyck R, de Haan M, Penninx B, van der Kooij K, van Hout H, Beekman A. 2006. Interpersonal psychotherapy for elderly patients in primary care. Am J Geriatr Psychiatry. Sep;14(9):777-86. Van Schaik DJ, van Marwijk HW, Beekman AT, de Haan M, van Dyck R. 2007. Interpersonal psychotherapy (IPT) for late-life depression in general practice: uptake and satisfaction by patients, therapists and physicians.BMC Fam Pract. Sep 13;8:52. Corresponding author: a.van.schaik@ggzba.nl

Slide 25 :

Research group D.J.F. van Schaik, MD H.W.J. van Marwijk , MD PhD H.J. Ader, PhD M. de Haan, MD PhD R. van Dyck, MD PhD B.W.J.H. Penninx , PhD H.P.J. van Hout, PhD K. J. Van der Kooij, Msc A.T.F. Beekman, MD PhD

	a.van.schaik@ggzba.nl 1 Years ago. Category: Psychiatry

Tags:	Psychiatry

Embed:
137 Views, 0 favourite
PowerPoint Presentation on Interpersonal Psychotherapy for late-life depression in general practice more PowerPoint Presentation on Interpersonal Psychotherapy for late-life depression in general practice or PowerPoint Presentation on Results of a randomized controlled trial exploring the feasibility and effectiveness of Interpersonal Psychotherapy for depressed elderly patients in general practice. less

SWINE Flu

Why do women live longer then men? Humor

History of Medicine

Yoga and Medicine

How to be a Successful Interventional Fellow size 50 MB

Cardiac Pathology

Hypertension: New Concepts, Guidelines, and Clinical Management

Diabetes Pathology

Medical Powerpoint Templates
(20% Dicsount For Student/Faculty)